Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.48 / $7.93 / $331.49	Facility		$3.48	$7.93	$331.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.46 / $3.50 / $8.80	Professional		$3.46	$3.50	$8.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.50 / $6.17 / $10.37	Facility		$3.50	$6.17	$10.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.48 / $3.48 / $6.61	Professional		$3.48	$3.48	$6.61
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $4.66 / $4.66 / $4.66	Facility		$4.66	$4.66	$4.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.48 / $3.48 / $5.92	Facility		$3.48	$3.48	$5.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.48 / $3.48 / $4.70	Professional		$3.48	$3.48	$4.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.28 / $3.28 / $3.48	Facility		$3.28	$3.28	$3.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.48 / $3.48 / $3.57	Professional		$3.48	$3.48	$3.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.48 / $3.48 / $5.13	Professional		$3.48	$3.48	$5.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.82 / $4.43 / $5.04	Professional		$3.82	$4.43	$5.04
United Facility/Professional Professional Modifier Low / Median / High Price $3.48 / $3.48 / $4.53	Professional		$3.48	$3.48	$4.53